Washington, DC, Metropolitan Area Drug Study (DC*MADS), 1992: Drug Use Among DC Women Delivering Live Births in DC Hospitals

The Washington, DC, Metropolitan Area Drug Study (DC*MADS) was conducted
in 1991, and included special analyses of homeless and transient
delivering live births in the DC hospitals. DC*MADS was undertaken to
assess the full extent of the drug problem in one metropolitan
area. The study was comprised of 16 separate studies that focused on
different sub-groups, many of which are typically not included or are
underrepresented in household surveys.The DC*MADS: Drug Use
Among Women Delivering Livebirths in DC Hospitals was designed to
examine the nature and extent of drug use among women delivering live
births in eight Washington, DC, hospitals participating in the
study. Data from the questionnaires include prenatal care, health
problems during pregnancy, pregnancy drug use history, needle use,
polysubstance use, patterns of use, respondent's general experiences
with drug use, including perceptions of the risks and consequences of
use, occurrence of psychological and emotional problems, income and
insurance coverage, treatment experiences, and maternal and infant
outcomes. Medical records were abstracted from the women and their
infants to document medical problems. Abstracted data on the mothers
included demographics, discharge diagnoses, disposition at discharge,
and results of urine screens. Abstracted data on infants included
delivery information, status at discharge, discharge
diagnoses/procedures, and first urine toxicology screen results.

华盛顿特区都会区药物研究（DC*MADS）于1991年启动，针对在华盛顿特区各医院分娩活婴的无家可归者与流动孕产妇开展了专项分析。本研究旨在评估单一都会区内药物问题的整体严重程度，共包含16项聚焦不同亚组的独立研究——其中许多亚组在家庭调查中通常未被纳入或代表性严重不足。
本次DC*MADS下设的「华盛顿特区医院分娩活婴产妇药物使用情况」专项研究，旨在考察参与本研究的8家华盛顿特区医院内，分娩活婴产妇的药物使用特征与规模。问卷采集的数据涵盖产前保健、妊娠期健康问题、妊娠药物使用史、针头使用情况、多物质滥用、使用模式、受访者药物使用的一般经历（包括对使用风险与后果的认知）、心理与情绪问题发生情况、收入与保险覆盖情况、治疗经历，以及母婴结局。研究人员从产妇及其婴儿的病历中提取数据以记录医疗相关问题：产妇提取数据包括人口统计学信息、出院诊断、出院处置情况及尿液筛查结果；婴儿提取数据包括分娩信息、出院时状态、出院诊断/手术操作，以及首次尿液毒理学筛查结果。